Middle School Work Camp Registration Camper's Name* First Last Phone*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Adult T-Shirt Size*Select...XSSMLXLXXLPresent School Attending 2018* Grade in Fall 2018* Birthdate* Month Day Year Mother's Name* First Last Father's Name* First Last Parent Email* Parent Cell/Phone*Payment Amount*Dates: July 9 - July 13 Cost: $175. Minimum $25 non-refundable deposit required with registration.Deposit Only ($25)Full Cost ($175)Discount Code Total $0.00 Credit Card*Card Details Cardholder Name CAPTCHA Δ
